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Ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding
Sonography is an important clinical tool in diagnosing appendicitis in children as it can obviate both exposure to potentially harmful ionising radiation from computed tomography scans and the need for unnecessary appendicectomies. This review examines the diagnostic accuracy of ultrasound in the id...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775827/ https://www.ncbi.nlm.nih.gov/pubmed/27087976 http://dx.doi.org/10.1002/jmrs.154 |
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author | Reddan, Tristan Corness, Jonathan Mengersen, Kerrie Harden, Fiona |
author_facet | Reddan, Tristan Corness, Jonathan Mengersen, Kerrie Harden, Fiona |
author_sort | Reddan, Tristan |
collection | PubMed |
description | Sonography is an important clinical tool in diagnosing appendicitis in children as it can obviate both exposure to potentially harmful ionising radiation from computed tomography scans and the need for unnecessary appendicectomies. This review examines the diagnostic accuracy of ultrasound in the identification of acute appendicitis, with a particular focus on the the utility of secondary sonographic signs as an adjunct or corollary to traditionally examined criteria. These secondary signs can be important in cases where the appendix cannot be identified with ultrasound and a more meaningful finding may be made by incorporating the presence or absence of secondary sonographic signs. There is evidence that integrating these secondary signs into the final ultrasound diagnosis can improve the utility of ultrasound in cases where appendicitis is expected, though there remains some conjecture about whether they play a more important role in negative or positive prediction in the absence of an identifiable appendix. |
format | Online Article Text |
id | pubmed-4775827 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-47758272016-04-15 Ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding Reddan, Tristan Corness, Jonathan Mengersen, Kerrie Harden, Fiona J Med Radiat Sci Review Article Sonography is an important clinical tool in diagnosing appendicitis in children as it can obviate both exposure to potentially harmful ionising radiation from computed tomography scans and the need for unnecessary appendicectomies. This review examines the diagnostic accuracy of ultrasound in the identification of acute appendicitis, with a particular focus on the the utility of secondary sonographic signs as an adjunct or corollary to traditionally examined criteria. These secondary signs can be important in cases where the appendix cannot be identified with ultrasound and a more meaningful finding may be made by incorporating the presence or absence of secondary sonographic signs. There is evidence that integrating these secondary signs into the final ultrasound diagnosis can improve the utility of ultrasound in cases where appendicitis is expected, though there remains some conjecture about whether they play a more important role in negative or positive prediction in the absence of an identifiable appendix. John Wiley and Sons Inc. 2016-01-20 2016-03 /pmc/articles/PMC4775827/ /pubmed/27087976 http://dx.doi.org/10.1002/jmrs.154 Text en © 2016 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Institute of Radiography and New Zealand Institute of Medical Radiation Technology. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Review Article Reddan, Tristan Corness, Jonathan Mengersen, Kerrie Harden, Fiona Ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding |
title | Ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding |
title_full | Ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding |
title_fullStr | Ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding |
title_full_unstemmed | Ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding |
title_short | Ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding |
title_sort | ultrasound of paediatric appendicitis and its secondary sonographic signs: providing a more meaningful finding |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775827/ https://www.ncbi.nlm.nih.gov/pubmed/27087976 http://dx.doi.org/10.1002/jmrs.154 |
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